Access to healthcare among sexual and gender minority youth at risk for HIV: barriers and experiences of discrimination.
Access to healthcare among sexual and gender minority youth at risk for HIV: barriers and experiences of discrimination.
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面临艾滋病毒风险的性少数和性别少数青年获得医疗保健的机会：歧视的障碍和经历。
DOI：
10.1080/09540121.2023.2209303
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发表时间：
2023
期刊：
影响因子：
1.7
通讯作者：
French,AudreyL
中科院分区：
文献类型：
--
作者：
Gleason,Neil;Serrano,PedroA;Muñoz,Alejandro;Hosek,SybilG;French,AudreyL
这项研究检查了美国艾滋病毒风险较高的性和性别少数青年中的医疗保健不可及性和女同性恋，男同性恋，双性恋，变性人，酷儿+（LGBTQ+）歧视的经历。这项横断面调查研究的参与者（N= 3330）是顺性别男性，跨性别男性和女性，以及年龄在18-34岁之间的非二元个体，他们是在2017年12月至2019年12月期间招募的一项大型研究，旨在检查艾滋病毒风险行为。结果显示，41.1%的参与者一生中至少有一次LGBTQ +医疗歧视的经历，44.1%的人报告了过去6个月的歧视经历或获得医疗保健的问题。跨性别男性和女性比顺性别男性和非二元参与者更有可能报告歧视经历，跨性别男性更有可能报告获得医疗保健的问题。大多数参与者（72.8%）报告说，他们最近的医疗保健提供者知道他们的性或性别认同。这些结果表明，艾滋病毒风险较高的性和性别少数青年在获得医疗保健方面存在很高的结构性障碍，包括财务和后勤障碍以及预期和经历的歧视。我们讨论了这些发现，并强调了方便和文化能力的照顾这个社区的重要性。
This study examined experiences of healthcare inaccessibility and lesbian, gay, bisexual, transgender, queer, plus (LGBTQ+) discrimination among sexual and gender minority youth at elevated risk for HIV in the United States. Participants for this cross-sectional survey study (N= 3330) were cisgender men, transgender men and women, and nonbinary individuals ages 18–34 recruited for a larger study examining HIV risk behavior between December 2017 and December 2019. Results indicated that 41.1% of participants had at least one lifetime experience of LGBTQ + healthcare discrimination, and 44.1% reported past 6-month experiences of discrimination or problems accessing healthcare. Transgender men and women were more likely than cisgender men and nonbinary participants to report experiences of discrimination, and transgender men were more likely to report problems accessing healthcare. A majority of participants (72.8%) reported that their most recent healthcare provider was aware of their sexual or gender identity. These results indicate a high prevalence of structural barriers in healthcare access for sexual and gender minority youth at elevated risk for HIV, including finical and logistical barriers as well as anticipated and experienced discrimination. We discuss these findings and highlight the importance of easily accessible and culturally competent care for this community.